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 is a system of sex organs within
an organism which work together for the
purpose of sexual reproduction.
 To create or reproduce a new offspring
of each living organism.
 Each testis is an oval structure about 5
cm long and 3 cm in diameter
 Covered by: tunica albuginea
 Located in the scrotum
 Interstitial cells (cells of Leydig), which
produce male sex hormones, are
located between the seminiferous
tubules within a lobule.
 consists of skin and subcutaneous tissue
 A vertical septum, of subcutaneous
tissue in the center divides it into two
parts, each containing one testis.
 the cremaster muscle, consists of skeletal
muscle fibers and controls the position of
the scrotum and testes. When it is cold or
a man is sexually aroused, this muscle
contracts to pull the testes closer to the
body for warmth
 Smooth muscle fibers, called the dartos
muscle, in the subcutaneous tissue
contract to give the scrotum its wrinkled
appearance. When these fibers are
relaxed, the scrotum is smooth
 a long tube (about 6 meters) located
along the superior and posterior margins
of the testes.
 Sperm that leave the testes are
immature and incapable of fertilizing
ova. They complete their maturation
process and become fertile as they
move through the epididymis. Mature
sperm are stored in the lower portion, or
tail, of the epididymis
 contains the proximal ductus deferens,
testicular artery and veins, lymph vessels,
testicular nerve, cremaster muscle and a
connective tissue covering
 Sperm cells pass through a series of ducts
to reach the outside of the body. After
they leave the testes, the sperm passes
through the epididymis, ductus deferens,
ejaculatory duct, and urethra
 a fibromuscular tube that is
continuous with the epididymis.
 enters the abdominopelvic cavity
through the inguinal canal and passes
along the lateral pelvic wall, behind
bladder & toward the prostate gland.
Just before it reaches the prostate
gland, each ductus deferens enlarges
to form an ampulla.
 extends from the urinary bladder to the
external urethral orifice at the tip of the
penis.
 It is a passageway for sperm and fluids
from the reproductive system and urine
from the urinary system.
 divided into three regions: The prostatic
urethra, the membranous urethra & the
penile urethra (also called spongy
urethra or cavernous urethra)
 Are the seminal vesicles, prostate gland,
and the bulbourethral glands. These
glands secrete fluids that enter the
urethra.
 glands posterior to the urinary bladder.
 Each has a short duct that joins with the
ductus deferens at the ampulla to form
an ejaculatory duct, which then empties
into the urethra.
 The fluid is viscous and contains fructose,
prostaglandins and proteins
 a firm, dense structure about the size
of a walnut that is located just inferior
to the urinary bladder
 Numerous short ducts from the
prostate gland empty into the
prostatic urethra. The secretions of the
prostate are thin, milky colored, and
alkaline. They function to enhance the
motility of the sperm
 small, about the size of a pea, and
located near the base of the penis. A
short duct from each enters the proximal
end of the penile urethra.
 In response to sexual stimulation, the
bulbourethral glands secrete an alkaline
mucus-like fluid
 a slightly alkaline mixture of sperm
cells and secretions from the
accessory glands.
 Secretions from the seminal vesicles
make up about 60 percent of the
volume of the semen, with most of the
remainder coming from the prostate
gland. The sperm and secretions from
the bulbourethral gland contribute
only a small volume.
 The volume of semen in a single
ejaculation may vary from 1.5 to 6.0 ml.
There are between 50 to 150 million
sperm per milliliter of semen. Sperm
counts below 10 to 20 million per milliliter
usually present fertility problems
 is a cylindrical pendant organ located
anterior to the scrotum and functions to
transfer sperm to the vagina.
 consists of three columns of erectile
tissue that are wrapped in connective
tissue and covered with skin. The two
dorsal columns are the corpora
cavernosa. The single, midline ventral
column surrounds the urethra and is
called the corpus spongiosum.
 3 parts: a root, body (shaft), and glans
penis.
 The root of the penis attaches it to the
pubic arch
 the body is the visible, pendant
portion.
 The corpus spongiosum expands at
the distal end to form the glans penis.
 Genital warts are circumscribed,
elevated skin lesions near genitalia or
anus
 Papillomas have fibrous tissue outgrowth
 Papillomaviruses
 Spread during intimate sexual contact
 Incubation period of 6 months
 Asymptomatic or tenderness in area
 End of penis
 Perianal area
 Warts are 3 to 4 inches in diameter
 Topical medication
 Cryosurgery
 Electrocautery
 Debribement
 Syphilis is a highly infectious, chronic,
sexually transmitted disease
characterized by lesions that may
involve any organ or tissue
 Three stages if left untreated
› Primary syphilis – 3 wks incubation,
appearance of distinctive, painless lesions,
called a chancre, appears on penis or anus
or labia of vagina, cervix, lips, tongue,
fingers, accompanied by lymphadenopathy
– highly contagious
 Secondary syphilis – rash with uniform
macular, papular, pustular or nodular
lesions on soles or palms
 Lesions erode and become contagious
 Headache, malaise, gastrointestinal
upset, sore throat, fever, alopecia, and
brittle nails
 Latent syphilis – begins asymptomatic
 Final or tertiary stage appears 2 to 7
years later and may cause damage to
aorta of heart, central nervous system, or
musculoskeletal system
 Testicular swelling
 Acute pain
 Chills
 Fever
 Nausea and vomiting
 Analgesics
 Antipyretics
 Scrotal support
 Malignant neoplasm of prostate tissue
 Classified as adenocarcinomas
 3rd leading cause of cancer deaths in
men
 Tends to metastasize and spreading to
bones
 Rare before age 50
 Cause is not known
 Increased incidence with age
 Asymptomatic
 Dysuria
 Difficulty in voiding
 Urinary frequency
 Urinary retention
 Surgery
 Orchidectomy and estrogen therapy
 Radiation therapy
 Chemotherapy
 In pelvis anterior to rectum and
posterosuperior to bladder
 Hollow, thick-walled organ
› Receives
› Retains
› Nourishes fertilized egg=embryo
 Uterus is pear-shaped (before babies)
Usually anteverted, can be retroverted.
Thin-walled tube
Inferior to uterus
Anterior to rectum
Posterior to urethra & bladder
“Birth canal”
Highly distensible wall: 3 layers
› Adventitia
› Muscularis
› mucosa
 Mons pubis: fatty pad over pubic
symphysis, with hair after puberty
 Labia (lips) majora: long fatty hair-
covered skin folds
 Labia minora: thin, hairless, folds
enclosing vestibule
 Vestibule: houses external openings of
urethra and vagina
 Urethra is anterior (drains urine from
bladder)
 Baby comes out through vagina
 Clitoris: anterior, homolog of penis
(sensitive erectile tissue)
 Perineum: diamond shaped region
 Modified sweat glands
 Both sexes but function (normally) only in
lactating female
 Produce milk to nourish baby
 Respond to hormonal stimulation
 Lymph drains into parasternal and
axillalry lymph nodes
 Nipple surrounded by pigmented ring of
skin, the areola
 Muscles underneath: pectoralis major
and minor, parts of serratus anterior and
external oblique
 Mammary glands consist of 15-25
lobes
 Each a distinct compound alveolar
gland opening at the nipple
 Separated by adipose and suspensory
ligaments
 Smaller lobules composed of tiny
alveoli or acini
› Like bunches of grapes
› Walls: simple cuboidal epithelium of milk-
secreting cells
› Don’t develop until half-way through
pregnancy (ducts grow during puberty)
 Milk passes from alveoli through
progressively larger ducts
› Largest: lactiferous ducts, collect milk into
sinuses
 After ejaculation into the vagina,
sperm swim to meet an egg
› Sperm live 5-7 days (need cervical
mucus)
› Eggs live about 12-24 hours, so
conception only occurs during this short
window
› Fertilization occurs in the fallopian tube
 Cleavage (cell division)
 Blastocyst stage by day 4: now in
uterus
 Both contribute:
•Trophoblast from embryo
•Endometrial tissue from mother
› Not called placenta until 4th month
 Gestational period: averages 266
days
(this is time post conception; 280 days
post LMP)
 Parturition: the act of giving birth:
3 stages of labor
1.Dilation: 6-12h (or more in first child);
begins with regular uterine
contractions and ends with full
dilation of cervix (10cm)
2.Expulsion: full dilation to delivery –
minutes up to 2 hours
3.Placental delivery: 15 minutes
 Sugars, fats and oxygen diffuse from
mother’s blood to fetus
 Urea and CO2 diffuse from fetus to
mother
 Maternal antibodies actively
transported across placenta
› Some resistance to disease (passive
immunity)
 Most bacteria are blocked
 Many viruses can pass including rubella,
chickenpox, mono, sometimes HIV
 Many drugs and toxins pass including
alcohol, heroin, mercury
 Placental secretion of hormones
 Progesterone and HCG (human
chorionic gonadotropin, the hormone
tested for pregnancy): maintain the
uterus
 Estrogens and CRH (corticotropin
releasing hormone): promote labor
 Embryologically, males and females start out
“sexually indifferent”
› Gonads, ducts and externally identical structures
› At 5 weeks gestation changes start to take place
 Puberty: reproductive organs grow to adult size
and reproduction becomes possible
› Between 10 and 15
› Influence of rising levels of gonadal hormones
 Testosterone in males
 Estrogen in females
 Female menopause (between 46 and 54):
› Loss of ovulation and fertility
 Pain associated with menstruation
 Frequently gynecologic disorders
 Two categories
› Primary – no identifiable pathological
disorders
› Secondary – underlying disease condition
 Analgesics and non steroid anti-
inflammatory drugs
 Heat
 Uterine leiomyomas may require surgery
 Sharp, cramping pains
 Starts prior to menses
 Subside within 18 to 24 hours
 Derived from ovarian follicles and corpus
luteum
 Nonneoplastic cysts (tumors) are small
 Neoplasms may be benign, malignant,
cystic, or solid
 Tissues colors change
 Pelvic pain
 Lower back pain
 dyspareunia
 Acute, or subacute, or a recurrent or
chronic infection of the fallopian tubes,
ovaries, and adjacent tissues
 Sudden pelvic pain
 Purulent and foul-smelling vaginal
discharge
 Fever
 Sexual dysfunction
 Antibiotics
 Surgery may be necessary to prevent
septicemia
 Generalized diagnosis of palpable lumps
or cysts in breasts
 Papillomatosis
 Fibrosis
 Hyperplasia
 Chronic cystic mastitis
 More frequently in women 30 to 50
 Pain
 Tenderness
 Nipple discharge
 Cancer is more common in women who
also have mammary dysplasia
 Encompasses a variety of malignant
neoplams
 Most common site of cancer in women
 Replaced by lung cancer as number 1
 Greatest risk in women over 40 who have
not had children or until after age 35
 Lump edema
 Thickening redness
 Dimpling nodularity
 Swelling
 Distortion
 Retraction or scaliness
 Monthly self-examination
 Mammography
 ultrasonography
 Total mastectomy
 Lumpectomy
 Radiation to shrink tumors
 Breast reconstruction
 Hormone receptors
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Reproductive system

  • 1.
  • 2.  is a system of sex organs within an organism which work together for the purpose of sexual reproduction.  To create or reproduce a new offspring of each living organism.
  • 3.
  • 4.
  • 5.
  • 6.  Each testis is an oval structure about 5 cm long and 3 cm in diameter  Covered by: tunica albuginea  Located in the scrotum  Interstitial cells (cells of Leydig), which produce male sex hormones, are located between the seminiferous tubules within a lobule.
  • 7.
  • 8.
  • 9.  consists of skin and subcutaneous tissue  A vertical septum, of subcutaneous tissue in the center divides it into two parts, each containing one testis.
  • 10.  the cremaster muscle, consists of skeletal muscle fibers and controls the position of the scrotum and testes. When it is cold or a man is sexually aroused, this muscle contracts to pull the testes closer to the body for warmth
  • 11.  Smooth muscle fibers, called the dartos muscle, in the subcutaneous tissue contract to give the scrotum its wrinkled appearance. When these fibers are relaxed, the scrotum is smooth
  • 12.
  • 13.  a long tube (about 6 meters) located along the superior and posterior margins of the testes.  Sperm that leave the testes are immature and incapable of fertilizing ova. They complete their maturation process and become fertile as they move through the epididymis. Mature sperm are stored in the lower portion, or tail, of the epididymis
  • 14.  contains the proximal ductus deferens, testicular artery and veins, lymph vessels, testicular nerve, cremaster muscle and a connective tissue covering
  • 15.  Sperm cells pass through a series of ducts to reach the outside of the body. After they leave the testes, the sperm passes through the epididymis, ductus deferens, ejaculatory duct, and urethra
  • 16.  a fibromuscular tube that is continuous with the epididymis.  enters the abdominopelvic cavity through the inguinal canal and passes along the lateral pelvic wall, behind bladder & toward the prostate gland. Just before it reaches the prostate gland, each ductus deferens enlarges to form an ampulla.
  • 17.
  • 18.  extends from the urinary bladder to the external urethral orifice at the tip of the penis.  It is a passageway for sperm and fluids from the reproductive system and urine from the urinary system.  divided into three regions: The prostatic urethra, the membranous urethra & the penile urethra (also called spongy urethra or cavernous urethra)
  • 19.  Are the seminal vesicles, prostate gland, and the bulbourethral glands. These glands secrete fluids that enter the urethra.
  • 20.  glands posterior to the urinary bladder.  Each has a short duct that joins with the ductus deferens at the ampulla to form an ejaculatory duct, which then empties into the urethra.  The fluid is viscous and contains fructose, prostaglandins and proteins
  • 21.  a firm, dense structure about the size of a walnut that is located just inferior to the urinary bladder  Numerous short ducts from the prostate gland empty into the prostatic urethra. The secretions of the prostate are thin, milky colored, and alkaline. They function to enhance the motility of the sperm
  • 22.  small, about the size of a pea, and located near the base of the penis. A short duct from each enters the proximal end of the penile urethra.  In response to sexual stimulation, the bulbourethral glands secrete an alkaline mucus-like fluid
  • 23.  a slightly alkaline mixture of sperm cells and secretions from the accessory glands.  Secretions from the seminal vesicles make up about 60 percent of the volume of the semen, with most of the remainder coming from the prostate gland. The sperm and secretions from the bulbourethral gland contribute only a small volume.
  • 24.  The volume of semen in a single ejaculation may vary from 1.5 to 6.0 ml. There are between 50 to 150 million sperm per milliliter of semen. Sperm counts below 10 to 20 million per milliliter usually present fertility problems
  • 25.  is a cylindrical pendant organ located anterior to the scrotum and functions to transfer sperm to the vagina.  consists of three columns of erectile tissue that are wrapped in connective tissue and covered with skin. The two dorsal columns are the corpora cavernosa. The single, midline ventral column surrounds the urethra and is called the corpus spongiosum.
  • 26.  3 parts: a root, body (shaft), and glans penis.  The root of the penis attaches it to the pubic arch  the body is the visible, pendant portion.  The corpus spongiosum expands at the distal end to form the glans penis.
  • 27.
  • 28.
  • 29.
  • 30.  Genital warts are circumscribed, elevated skin lesions near genitalia or anus  Papillomas have fibrous tissue outgrowth
  • 31.  Papillomaviruses  Spread during intimate sexual contact  Incubation period of 6 months
  • 32.  Asymptomatic or tenderness in area  End of penis  Perianal area  Warts are 3 to 4 inches in diameter
  • 33.
  • 34.  Topical medication  Cryosurgery  Electrocautery  Debribement
  • 35.  Syphilis is a highly infectious, chronic, sexually transmitted disease characterized by lesions that may involve any organ or tissue
  • 36.
  • 37.  Three stages if left untreated › Primary syphilis – 3 wks incubation, appearance of distinctive, painless lesions, called a chancre, appears on penis or anus or labia of vagina, cervix, lips, tongue, fingers, accompanied by lymphadenopathy – highly contagious
  • 38.  Secondary syphilis – rash with uniform macular, papular, pustular or nodular lesions on soles or palms  Lesions erode and become contagious  Headache, malaise, gastrointestinal upset, sore throat, fever, alopecia, and brittle nails
  • 39.  Latent syphilis – begins asymptomatic  Final or tertiary stage appears 2 to 7 years later and may cause damage to aorta of heart, central nervous system, or musculoskeletal system
  • 40.
  • 41.
  • 42.
  • 43.  Testicular swelling  Acute pain  Chills  Fever  Nausea and vomiting
  • 45.  Malignant neoplasm of prostate tissue  Classified as adenocarcinomas  3rd leading cause of cancer deaths in men  Tends to metastasize and spreading to bones  Rare before age 50
  • 46.  Cause is not known  Increased incidence with age
  • 47.  Asymptomatic  Dysuria  Difficulty in voiding  Urinary frequency  Urinary retention
  • 48.  Surgery  Orchidectomy and estrogen therapy  Radiation therapy  Chemotherapy
  • 49.
  • 50.
  • 51.
  • 52.  In pelvis anterior to rectum and posterosuperior to bladder  Hollow, thick-walled organ › Receives › Retains › Nourishes fertilized egg=embryo
  • 53.  Uterus is pear-shaped (before babies) Usually anteverted, can be retroverted.
  • 54.
  • 55. Thin-walled tube Inferior to uterus Anterior to rectum Posterior to urethra & bladder “Birth canal” Highly distensible wall: 3 layers › Adventitia › Muscularis › mucosa
  • 56.
  • 57.  Mons pubis: fatty pad over pubic symphysis, with hair after puberty  Labia (lips) majora: long fatty hair- covered skin folds  Labia minora: thin, hairless, folds enclosing vestibule
  • 58.  Vestibule: houses external openings of urethra and vagina  Urethra is anterior (drains urine from bladder)  Baby comes out through vagina  Clitoris: anterior, homolog of penis (sensitive erectile tissue)  Perineum: diamond shaped region
  • 59.
  • 60.  Modified sweat glands  Both sexes but function (normally) only in lactating female  Produce milk to nourish baby  Respond to hormonal stimulation  Lymph drains into parasternal and axillalry lymph nodes  Nipple surrounded by pigmented ring of skin, the areola  Muscles underneath: pectoralis major and minor, parts of serratus anterior and external oblique
  • 61.  Mammary glands consist of 15-25 lobes  Each a distinct compound alveolar gland opening at the nipple  Separated by adipose and suspensory ligaments
  • 62.  Smaller lobules composed of tiny alveoli or acini › Like bunches of grapes › Walls: simple cuboidal epithelium of milk- secreting cells › Don’t develop until half-way through pregnancy (ducts grow during puberty)  Milk passes from alveoli through progressively larger ducts › Largest: lactiferous ducts, collect milk into sinuses
  • 63.
  • 64.  After ejaculation into the vagina, sperm swim to meet an egg › Sperm live 5-7 days (need cervical mucus) › Eggs live about 12-24 hours, so conception only occurs during this short window › Fertilization occurs in the fallopian tube
  • 65.
  • 66.  Cleavage (cell division)  Blastocyst stage by day 4: now in uterus
  • 67.
  • 68.
  • 69.  Both contribute: •Trophoblast from embryo •Endometrial tissue from mother › Not called placenta until 4th month
  • 70.  Gestational period: averages 266 days (this is time post conception; 280 days post LMP)  Parturition: the act of giving birth: 3 stages of labor 1.Dilation: 6-12h (or more in first child); begins with regular uterine contractions and ends with full dilation of cervix (10cm) 2.Expulsion: full dilation to delivery – minutes up to 2 hours 3.Placental delivery: 15 minutes
  • 71.
  • 72.  Sugars, fats and oxygen diffuse from mother’s blood to fetus  Urea and CO2 diffuse from fetus to mother  Maternal antibodies actively transported across placenta › Some resistance to disease (passive immunity)  Most bacteria are blocked
  • 73.  Many viruses can pass including rubella, chickenpox, mono, sometimes HIV  Many drugs and toxins pass including alcohol, heroin, mercury  Placental secretion of hormones  Progesterone and HCG (human chorionic gonadotropin, the hormone tested for pregnancy): maintain the uterus  Estrogens and CRH (corticotropin releasing hormone): promote labor
  • 74.  Embryologically, males and females start out “sexually indifferent” › Gonads, ducts and externally identical structures › At 5 weeks gestation changes start to take place  Puberty: reproductive organs grow to adult size and reproduction becomes possible › Between 10 and 15 › Influence of rising levels of gonadal hormones  Testosterone in males  Estrogen in females  Female menopause (between 46 and 54): › Loss of ovulation and fertility
  • 75.
  • 76.  Pain associated with menstruation  Frequently gynecologic disorders  Two categories › Primary – no identifiable pathological disorders › Secondary – underlying disease condition
  • 77.  Analgesics and non steroid anti- inflammatory drugs  Heat  Uterine leiomyomas may require surgery
  • 78.  Sharp, cramping pains  Starts prior to menses  Subside within 18 to 24 hours
  • 79.  Derived from ovarian follicles and corpus luteum  Nonneoplastic cysts (tumors) are small  Neoplasms may be benign, malignant, cystic, or solid  Tissues colors change
  • 80.  Pelvic pain  Lower back pain  dyspareunia
  • 81.  Acute, or subacute, or a recurrent or chronic infection of the fallopian tubes, ovaries, and adjacent tissues
  • 82.  Sudden pelvic pain  Purulent and foul-smelling vaginal discharge  Fever  Sexual dysfunction
  • 83.  Antibiotics  Surgery may be necessary to prevent septicemia
  • 84.
  • 85.  Generalized diagnosis of palpable lumps or cysts in breasts  Papillomatosis  Fibrosis  Hyperplasia  Chronic cystic mastitis  More frequently in women 30 to 50
  • 86.  Pain  Tenderness  Nipple discharge
  • 87.  Cancer is more common in women who also have mammary dysplasia
  • 88.  Encompasses a variety of malignant neoplams  Most common site of cancer in women  Replaced by lung cancer as number 1
  • 89.
  • 90.  Greatest risk in women over 40 who have not had children or until after age 35
  • 91.  Lump edema  Thickening redness  Dimpling nodularity  Swelling  Distortion  Retraction or scaliness
  • 92.  Monthly self-examination  Mammography  ultrasonography
  • 93.
  • 94.  Total mastectomy  Lumpectomy  Radiation to shrink tumors  Breast reconstruction  Hormone receptors